肱骨近端加压锁定钢板治疗肱骨近端骨折的疗效观察.docVIP

肱骨近端加压锁定钢板治疗肱骨近端骨折的疗效观察 庞启雄??张朝驹 白红军 （荆州市中医医院骨3科 湖北 荆州 434000） 【摘要】目的 探讨肱骨近端加压锁定钢板治疗肱骨近端骨折的疗效。方法 将我院骨科的40例肱骨近端骨折fficacy observation of The proximal humerus pressure locking plate in the treatment of proximal humeral fractures [Abstract] Objective To investigate the Efficacy of The proximal humerus pressure locking plate in the treatment of proximal humeral fractures. Methods 40 patients with proximal humerus fracture in our hospital were randomly divided into study group and control group, the study group was treated with pressure locking plate, the control was treated with ordinary steel. The duration of surgery, fracture healing and functional recovery in both groups were compared. Results 1.operation time of the study group was (72.7 ± 13.4) min, blood loss was (153.6 ± 79.4) ml, fracture healing time was (11.7 ± 1.9) d, were significantly less than the control group (85.2 ± 12.9) min, (246.5 ± 82.5) ml, (15.7 ± 1.3) d, the difference had statistically significant (P 0.01). 2 The total effective rate of the study group was 100% , the control group was 80%, total efficiency differences statistically significance (P 0.05). Conclusion proximal humerus pressure locking plate for treatment of proximal humeral fractures with less trauma, quick recovery, good surgical prognosis function, worthy of promotion. [Key words] proximal humerus fractures; the locking compression; ordinary steel 肱骨近端骨折是临床上常见的骨折类型之一，在全身骨折中其发病率约在4%~5%[1]。由于中老年患者存在骨质疏松，肱骨近端骨折多见于中老年人。随着社会老龄化人口的加剧，其发病也越来越多。治疗肱骨近端骨折的主要手段是手术治疗，对于骨折无移位或移位程度较轻的患者，可采用非手术治疗[2]；但是对于移位程度较大或者粉碎性肱骨近段骨折患者应积极采用手术治疗[3]。正确的手术方法对于患者的预后具有重要意义，不恰当的手术治疗方法可以导致严重并发症及不良预后的发生[4]。本研究选择2009年1月至2011年6期间就诊于我院骨科的40例肱骨近端骨折骨折±s） 组别 病例数 手术时间 （min） 出血情况 （ml） 骨折愈合时间 （d） 研究组 20 72.7±13.4 153.6±79.4 11.7±1.9 对照组 20 85.2±12.9 246.5±82.5 15.7±1.3 T值 3.00 3.62 7.77 P 0.01 0.00 0.00 2.2 两组患者临床疗效的比较：研究组患者显效15例，有效5例，总有效率为100%，对照组患者显效14例，有效2例，无效4例，总有效率为80%，对两组患者总有效率进行比较发现，差异具有统计学意义（P＜0.05）。（见表2） 表2 两组患者临床疗效的比较 组别 病例数 显效 有效 无效